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Conversely, symptoms suggesting excessive thyroid hormone replacement (hyperthyroidism), including palpitations, tremor, anxiety, heat intolerance, or insomnia, particularly in the context of significant weight loss, warrant evaluation and possible levothyroxine dose reduction
It should be swallowed with water
Patients with rheumatoid arthritis considering or currently using GLP-1 medications should engage in comprehensive discussions with their rheumatology team to ensure coordinated, evidence-based care
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Rather than suppressing caloric intake, they may enhance substrate utilization, preserve lean mass, and improve metabolic resiliencefeatures particularly relevant to aging populations, where sarcopenia, osteoporosis, and insulin resistance frequently coexist
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